Individual
DR. LATRISHA BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
2801 LOUISVILLE AVE, MONROE, LA 71201-6655
(318) 387-6023
(318) 387-6367
Mailing address
105 TULIP WOOD DR, MONROE, LA 71203-2477
(318) 387-6023
(319) 387-6367
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017727
LA
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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